FMGE is India's mandatory licensing screen for Indian citizens and OCIs who completed their medical degree abroad, and unlike NEET UG or NEET PG, it functions purely as a pass/fail check against a flat 150-out-of-300 (50%) qualifying mark rather than any competitive ranking system. The exam splits into two 2.5-hour sessions in one day, each further broken into three individually time-boxed 50-minute sections with no ability to revisit a closed one â a section-locked structure that echoes NEET PG's own design even though FMGE serves an entirely different, non-competitive purpose. With no negative marking, no age limit, and no cap on the number of attempts, candidates can keep reattempting across what NBEMS expanded to three annual sessions in 2026, a genuinely more forgiving retake structure than most Indian medical exams offer â though the historically low first-attempt pass rate means treating any single sitting as low-stakes rarely serves candidates well. Because FMGE tests broad clinical knowledge against Indian MBBS-curriculum expectations regardless of where a candidate actually trained, switching preparation materials to standard Indian reference texts â rather than continuing with whatever curriculum a foreign medical school used â is one of the most consequential adjustments a candidate can make.